Why Am I Not Losing Weight on Keto?
Tina Sassine, RD, MPH
Nutrition
|
Weight Loss
01/13/2026 9:11pm
7 minute read
Why keto weight loss stalls
There are several reasons weight loss may stall on a keto diet. These include:
Calories still matter. When calories and protein are matched, research shows low-carb and low-fat diets tend to produce similar weight loss over time. Ultimately, the best approach is the one you can stick with long-term. (PMC)
Water-weight can disguise fat loss. Carbohydrates help the body store water (via glycogen). Even on keto, normal shifts in hydration, sodium, and glycogen can cause the scale to stall — or even jump up — without reflecting true fat gain.
Metabolism may drop. As body weight decreases, energy expenditure often decreases as well.
“Keto-friendly” foods are easy to overeat. Oils, butter, cheese, nuts, nut butters, cream, and keto desserts are extremely calorie-dense. Small portion increases can quickly erase a deficit — even if carbs stay low.
How Keto Changes Your Body (and Why That Matters for Fat Loss)
When you cut carbs very low, your body shifts into a different “fuel mode.” Instead of relying mostly on glucose (sugar from carbs), it begins breaking down fat into molecules called ketones that can be used for energy. This process is called ketosis, and it’s the defining feature of the ketogenic diet.
Here’s what actually changes in your body and why it matters if your goal is fat loss:
1. Water and electrolyte shifts.
When carbs drop, the body releases glycogen and the water stored with it. This is why early weight loss is dramatic. But after a few weeks, the body rebalances fluids and sodium levels. This “rebound water” can mask ongoing fat loss, making many people think they’ve hit a plateau when they haven’t.
2. Hunger often decreases but calories still count.
Keto tends to be higher in protein and fat, which can increase fullness. Many people naturally eat fewer calories without trying because meals feel more satisfying and cravings are quieter.
3. Hormonal shifts in insulin.
Carbs raise blood sugar more than protein or fat, which triggers the hormone insulin. Insulin helps move sugar into your cells, but it also signals your body to store energy. When carb intake drops, insulin often drops too — and many people notice fewer cravings, fewer energy crashes, and less “snack urgency.”
4. Changes in training performance.
Some people experience reduced power and intensity in strength training during early keto adaptation. This can mean fewer reps and lower loads.
All of these factors are normal. They don’t necessary mean keto “stopped working”— they simply mean you need to adjust calories, movement, and protein to help with further weight loss.
First: confirm it’s a real plateau
- Weigh daily; use a 7-day average. A true stall = the weekly average flatlining for 2–3 weeks.
- Track intake for 3–7 days (include oils, cream, nuts/nut butters, weekend meals, alcohol).
- If you use “net carbs,” remember it’s a marketing term; base choices on the Total Carbohydrate line.
- Note steps and workouts; many people move less without noticing.
A recent umbrella review confirms that while ketogenic diets often lead to rapid initial weight loss, further fat-loss after ~6 months tends to plateau unless calories are adjusted. BioMed Central
The keto-stall fix list
- Recalculate calories using a dynamic tool. Update your maintenance and set a modest deficit (~300–500 kcal/day). Try the NIH Body Weight Planner. For a hands-on walkthrough, see our calorie-goal guide.
- Prioritize protein. Aim about 1.2–1.6 g/kg/day (or 20–40 g per meal) to protect lean mass and manage hunger. Start here: high-protein basics.
- Lift + walk. Resistance training 2–4×/week preserves muscle; add +2–3k steps/day for NEAT. Studies in resistance-trained men show that similar calories but different diet structure (ketogenic vs non-ketogenic) yield changes in body-composition and hormonal profile. For workout fuel ideas, skim our post-workout carbs guide.
- Sleep 7–9 hours. Short sleep increases hunger and may blunt fat-loss even in a calorie deficit. Protect bedtime and wake time.
- Label literacy. It's important to identify the total carbohydrate, fiber, protein, and calories. Check “keto snacks” for sugar alcohols and added fats. For sugar-savvy swaps, see Sugar Facts.
- Consider low-carb (not strict keto). If strict keto feels hard, a higher-fiber lower-carb approach can also work for weight loss. We’ve listed smart low-carb ingredients that fit our meals.
- Still stuck after 3–4 weeks? Re-trim calories by ~100–200 kcal/day. If weight won’t budge after a month, talk to your clinician about other factors (medications, thyroid issues, PCOS, menopause). For a bigger picture, see our program overview.
FAQs
Do I have to be in deep ketosis to lose fat?
No. You’ll lose fat when you sustain an energy deficit. Ketone levels reflect carb restriction, not necessarily calorie burn.
Why did I lose fast at first, then stall?
Early loss is mostly water & glycogen. After that, fat loss is slower and can be masked by day-to-day water shifts.
Can I lose on keto without counting calories?
Yes, many people can lose weight on keto without counting calories because keto often reduces hunger and cravings, leading to a natural calorie deficit. However, fat loss still requires eating fewer calories than you burn, and it’s easy to overdo high-calorie keto foods like cheese, nuts, oils, and “keto treats.” For best results without tracking, prioritize protein and veggies at each meal and use added fats in moderation.
Want structure? Pair CEK meal plans with these tips, or compare portion vs. calorie counting.
References
- DIETFITS RCT (low-carb vs low-fat; no weight-loss difference at 12 months). JAMA 2018.
- Metabolic-ward studies on carb vs fat restriction and isocaloric ketogenic diets. Cell Metab 2015; AJCN 2016.
- Systematic reviews/meta-analyses on low-carb vs low-fat weight loss (short-term edge; similar long-term). PLOS One 2014; Diabetes Obes Metab 2022.
- Glycogen–water coupling (~3 g water per 1 g glycogen). Murray 2018; Fernández-Elías 2015.
- Adaptive thermogenesis & NEAT background. Rosenbaum & Leibel 2010; Levine 2004.
- Protein targets for dieting/exercise. ISSN Position Stand 2017.
- NIH Body Weight Planner (dynamic energy model). NIDDK.
- “Net carbs” not FDA-defined; use Total Carbohydrate on labels. American Diabetes Association.
- Insufficient sleep blunts fat loss in a calorie deficit. Ann Intern Med 2010.
- Ketogenic diet for weight loss. PMC 2018
- Effects of ketogenic diet on health outcomes: an umbrella review of meta-analyses of randomized clinical trials. BMC Medicine
- Effects of calorie restricted low carbohydrate high fat ketogenic vs. non-ketogenic diet on strength, body-composition, hormonal and lipid profile in trained middle-aged men. PubMed 2021
Disclaimer: This article is for informational purposes only and is not intended as medical advice. Always consult a qualified healthcare provider before making changes to your diet, supplements, or exercise routine.
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